• 한국직업건강간호학회지
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• 제8권1호
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• pp.42-55
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• 1999

The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

• 디지털융복합연구
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• 제15권9호
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• pp.321-333
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• 2017

본 연구의 목적은 만성신부전환자의 혈액투석 후 삶의 재구성 경험을 이해하고, 그들의 생생한 경험의 의미를 밝히기 위함이며, 연구 방법은 질적연구 방법 중 Colaizzi의 현상학적 연구방법을 이용하였다. 연구대상은 만성신부전증을 진단받고 혈액투석 중인 8명의 환자를 대상으로 개별 심층면담을 통해 자료수집을 진행하였다. 연구결과 도출된 5개의 범주는 '예기치 못한 어려움의 시작', '혈액투석이 가져온 생존의 버거움', '재기의 원동력', '내일을 살기 위한 오늘의 선택과 집중', '정성껏 엮어가야만 하는 일상'으로 나타났다. 본 연구결과를 통해 의료인들은 만성신부전환자가 혈액투석을 하면서 경험하는 신체적, 정신적 고통과 변화된 삶의 방식에 적응하기 위하여 그들이 부단히 노력하는 방법을 심층적으로 이해하는데 도움이 될 것이다. 또한 향후 혈액투석 환자의 건강관리를 위한 효율적인 간호중재를 개발하는 데 기초자료가 될 수 있을 것이라 생각된다.

• 디지털융복합연구
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• 제16권1호
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• pp.439-452
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• 2018

본 연구는 경제활동에 참여하는 은퇴 전 한국 베이비부머의 소비유형을 실증적으로 탐색하고, 유형별 소비가 우울에 미치는 영향을 검증하는 데 목적을 두고 있다. 잠재프로파일분석을 이용하여 베이비부머의 소비를 분석한 결과, 기초생활중심형, 사회생활중심형, 주거생활중심형, 고급소비중심형의 4가지 유형이 구조화되었다. 이러한 소비유형과 우울은 유의미한 상관관계가 있는 것으로 증명되었는데, 특히 사회생활중심형 소비유형과 비교하여 기초생활중심형과 고급소비중심형의 우울수준이 유의하게 높았다. 또한 교육수준이 낮을수록, 배우자가 없는 경우, 주관적 건강상태가 나쁜 경우, 신체기능에 제한이 있을수록, 장애진단을 받을수록, 여가활동에 만족하지 않을수록, 소득이 낮은 경우, 주관적 경제상태가 부정적일 때 우울수준이 높은 것으로 조사되었다. 본 연구결과를 바탕으로 한국 베이비부머를 위한 특화된 노후준비 정책과 프로그램의 개발 필요성을 제언한다.

• 재활간호학회지
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• 제6권2호
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• pp.213-225
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• 2003

The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.

• 여성건강간호학회지
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• 제7권3호
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• pp.293-304
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• 2001

The purpose of this study was to investigate the factors influencing health promoting lifestyles in college women thus providing the basic data necessary to establish a health promoting program. The subjects of this study were 274 college women, living in Seoul, Chung-Buk, and Kangwon, during the period from May 10 to July 15, 2000. The instruments for this study were the health promoting lifestyles scale developed by Bak, Insuk(1995), the self efficacy scale by Sherer et al. (1982), the social support scale by Su, Moonja(1988), the self-esteem scale by Rosenberg(1965) and the perceived health status scale by Lawton et al.(1982). The results of this study are as follows; 1. The average score for health promoting lifestyles was 2.45 on a 4 point scale. The health promoting lifestyles categories 'harmony relationships' (3.04) and 'sanitary life'(3.02) revealed higher scores, whereas scores for 'healthy diet' (2.32), 'exercise & activity' (2.14) and 'professional health management' (1.48) were lower. 2. The mean score for self-efficacy, social support, self esteem and perceived health status was 3.38 (on a 5 point scale), 2.88 (on a 4 point scale), 2.98(on a 4 point scale) and 3.08(on a 5 point scale) respectively. 3. Health promoting lifestyles showed significant positive correlation with self efficacy, social support, self esteem and perceived health status. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was self efficacy. Self efficacy, social support, and perceived health status have significant effects on health promoting lifestyles. These predictive variables of health promoting lifestyles explained 25% of variance. Finally, the result of this study will provide important factors for the development of a nursing intervention program for the promotion of healthy lifestyles in college women.

• 지역사회간호학회지
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• 제32권3호
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• pp.404-414
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• 2021

Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

• 한국융합학회논문지
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• 제10권10호
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• pp.81-89
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• 2019

본 연구에서는 2013-2015년 국민건강영양조사 결과를 이용하여 우리나라 20-64세 성인 남녀 5,597명의 자료를 분석하였다. 현재 흡연자인 남성은 41.1%, 여성은 5.5%였으며, 현재 흡연자에서 대사증후군이 발생할 위험은 남성에서 연령 및 음주, 신체활동, 비만, 수면시간을 보정하였을 경우 1.785배 유의하게 증가하는 것으로 나타났지만, 여성에서는 유의하지 않았다. 흡연 및 대사증후군 유무에 따른 평균 영양소 섭취 차이를 분석 결과, 흡연자이면서 대사증후군이 있는 군에서 연령과 성별을 보정하였을 경우 에너지, 레티놀 및 비타민 C 섭취량에서만 유의한 결과를 보였다. 본 연구 결과 흡연 행태와 대사증후군 여부가 영양소 섭취와 연관이 있다는 것을 확인할 수 있었으며, 이에 따라 대사증후군의 예방과 관리를 위한 국가적인 수준의 생활습관 중재가 필요하겠다.

• 한국체육학회지인문사회과학편
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• 제58권1호
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• pp.271-284
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• 2019

이 연구의 목적은 12주간의 댄스스포츠가 비만노인여성의 신체조성, 아이리신, 아디포넥틴 및 혈중지질에 어떠한 영향을 미치는지 알아보고 비만노인여성을 위한 효과적인 운동프로그램을 제안하는데 있다. 의학적 질환과 증상이 없는 65세 이상 비만노인여성 26명을 대상으로 운동군 13명과 대조군에 13명을 무작위 배정하여 실시하였으며. 운동군은 12주간, 주 2회, 일일 60분 댄스스포츠를 실시하였고 대조군은 동일 처치 기간 동안 일상생활을 유지하도록 했다. 이 연구의 결과에서 혈중 아이리신 농도는 운동군에서 유의하게 증가하였으며, 아디포넥틴 농도는 운동군에서 증가하는 경향을 보였다. 혈중지질의 TG, LDL-C농도는 운동군에서 유의하게 감소하였고, TC과 HDL-C농도는 운동군에 감소 및 증가하는 경향이 나타났다. 이상의 결과를 종합해 보면 낮은 수준의 아이리신과 아디포넥틴, 혈중 콜레스테롤이 댄스 스포츠 운동 후 비만노인여성에 긍정적인 효과가 나타나 노인 비만 관리를 위한 좋은 운동으로 사료된다.

• 대한간호학회지
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• 제52권3호
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• pp.261-277
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• 2022

Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann-Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, η_p² = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

• 산업진흥연구
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• 제7권3호
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• pp.65-70
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• 2022

본 연구는 분노감정이 주된 정서조절 이슈의 5세 여아에 대한 아동중심놀이치료 이론을 근거로 한 아동상담 사례이다. 아동 분노의 빈도 및 강도로 인하여 유치원 적응 및 어머니의 양육에 어려움이 있었다. 아동상담은 Full Battery 심리검사 실시 후, 2021년 3월 29일부터 2022년 6월 15일까지 14개월 동안 주 1회씩 아동상담 40분 부모상담 10분의 총 47사례회가 진행되었다. 아동은 주도적인 놀이를 통해 상담사례회기 동안 공격성, 통제성, 애정 및 힘의 욕구를 나타냈으며, 상담실에서 안정감을 느끼며 정서조절능력의 향상이 관찰되었다. 아동은 부모에게 자신의 감정과 요구에 대한 언어와 행동적 표현능력의 향상을 나타내었고, 초등학교 입학 후 원만한 학교적응 양상을 보였다. 어머니는 아동양육이 전보다 편안하다고 보고하였다. 본 연구는 아동의 초등학교 입학 한해 전 14개월 동안 정서조절에 대하여 개입 한 상담사례연구의 결과로, 1학년 학기초 동안 적응적 학교생활양식을 확인한 연구로서도 의의가 있다.